Prevention and Initial Management of HIV Infection
Authors: Yongbao Wei, Ruochen Zhang, Tao Li, Liefu Ye, Le Lin
Journal: Annals of Internal Medicine (2022)

LettersDecember 2022Prevention and Initial Management of HIV InfectionYongbao Wei, PhD, Ruochen Zhang, PhD, Tao Li, PhD, Liefu Ye, PhD, Le Lin, MDYongbao Wei, PhDFujian Medical University and Fujian Provincial Hospital, Fuzhou, ChinaSearch for more papers by this author, Ruochen Zhang, PhDFujian Medical University and Fujian Provincial Hospital, Fuzhou, ChinaSearch for more papers by this author, Tao Li, PhDFujian Medical University and Fujian Provincial Hospital, Fuzhou, ChinaSearch for more papers by this author, Liefu Ye, PhDFujian Medical University and Fujian Provincial Hospital, Fuzhou, ChinaSearch for more papers by this author, Le Lin, MDFujian Medical University and Fujian Provincial Hospital, Fuzhou, ChinaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L22-0394 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: Feinberg and Keeshin (1) explored the importance of HIV preexposure prophylaxis in the prevention and initial management of HIV. We strongly agree with their statement about specific indications for preexposure prophylaxis. However, we believe that their indications are substantially less valuable to a national health department or for global epidemic prevention because they overlook the important issue of how to address HIV prevention and management in the setting of migration.Migration as an important factor associated with HIV transmission increases the likelihood of risky behaviors that contribute to HIV exposure (2). Transmission of HIV caused by migration ...References1. Feinberg J, Keeshin S. In the Clinic: prevention and initial management of HIV infection. Ann Intern Med. 2022;175:ITC81-96. [PMID: 35696682] doi:10.7326/AITC202206210 LinkGoogle Scholar2. Ruiz Y, Guilamo-Ramos V, McCarthy K, et al. Exploring migratory dynamics on HIV transmission: the case of Mexicans in New York City and Puebla, Mexico. Am J Public Health. 2014;104:1036-44. [PMID: 24825203] doi:10.2105/AJPH.2013.301770 CrossrefMedlineGoogle Scholar3. Yan H, Wu H, Xia Y, et al. Acquisition and transmission of HIV-1 among migrants and Chinese in Guangzhou, China from 2008 to 2012: phylogenetic analysis of surveillance data. Infect Genet Evol. 2021;92:104870. [PMID: 33901684] doi:10.1016/j.meegid.2021.104870 CrossrefMedlineGoogle Scholar4. Seedat F, Hargreaves S, Nellums LB, et al. How effective are approaches to migrant screening for infectious diseases in Europe? A systematic review. Lancet Infect Dis. 2018;18:e259-71. [PMID: 29778396] doi:10.1016/S1473-3099(18)30117-8 CrossrefMedlineGoogle Scholar5. Dzomba A, Tomita A, Govender K, et al. Effects of migration on risky sexual behavior and HIV acquisition in South Africa: a systematic review and meta-analysis, 2000-2017. AIDS Behav. 2019;23:1396-1430. [PMID: 30547333] doi:10.1007/s10461-018-2367-z CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Fujian Medical University and Fujian Provincial Hospital, Fuzhou, ChinaDisclosures: Authors have reported no disclosures of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L22-0394. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPrevention and Initial Management of HIV Infection Judith Feinberg and Susana Keeshin Metrics December 2022Volume 175, Issue 12Page: W152KeywordsAntiretroviral therapyDrugsHIVHIV infectionsHIV preventionOpportunistic infectionsPreexposure prophylaxisPregnancyViral load ePublished: 20 December 2022 Issue Published: December 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...